Doctor insights on:
I Feel A Little Pressure On My Chest Right Where The Heart Is What Could That Be

1

Take a deep breath:
Really. Chest discomfort is not usually cardiac. If taking a deep breath makes it worse, if it occurs spontaneously, if touching the area reproduces the discomfort, if it lasts a long time, if not associated with activity or other associated symptoms, if you are younger with no risk factors or family history, you can probably relax. But, your mileage may vary, so if any doubt, see your doctor!
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2

Needs evaluation:
Although simple anxiety and panic attacks can cause the symptoms you describe, it is incumbent on your doctors to make sure that you are not having a primary cardiac arrhythmia that is causing the symptoms you describe. A holter (24 hour) or event monitor (3-4 week) may be useful, as well as an echocardiogram and stress test to see if the symptoms are inducible.
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3

Hiatal hernia:
Yes, it can be. The hiatal hernia does t need to be large. Even if the hernia is small, it may be large enough to cause significant gerd/esophagitis to cause severe discomfort.
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6

Esophageal spasms?:
Non cardiac related chest pain and pressure requires a thorough evaluation including upper endoscopy and often manometric studies of the esophagus. High amplitude esophageal spasms can cause severe chest pain and this is often confused with chest pain from a cardiac etiology. Since you cardiac work-up is normal, this should be investigated further by your gastroenterologist.
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Frequent belching:
Is a form of eructation, gerd or heartburn. Heartburn can be without pain just that acid and gas. You have had a good test for the heart and heart problem should not develop so suddenly unless something was missed. You are on Omeprazole so try an antacid or h2 blocker in addition (mylanta or zantac). Then go see your doctor and discuss it.
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